护理诊断手册

绪论
序一
序二
第一部分　护理诊断（按英文字母顺序）
Activity Intolerance 活动无耐力
Adaptive Capacity, Decreased: Intracranial 适应能力下降(颅内的)
Adjustment, Impaired 调节障碍
Anxiety 焦虑
　Death Anxiety 对死亡的焦虑
Body Temperature, Risk for Altered 有体温改变的危险
　Hypothermia 体温过低
　Hyperthermia 体温过高
　Thermoregulation, Ineffective 体温调节无效
Bowel Incontinence 排便失禁
Breastfeeding, Effective 母乳喂养有效
Breastfeeding, Ineffective 母乳喂养不当/无效
Breastfeeding, Interrupted 母乳喂养中断
Cardiac Output, Decreased 心输出量减少
Caregiver Role Strain 照顾者角色紧张
　Risk for Caregiver Role Strain 有照顾者角色紧张的危险
Comfort, Altered 不舒适
　Acute Pain 急性疼痛
　Chronic Pain 慢性疼痛
　Nausea 恶心
Communication, Impaired 沟通障碍
　Communication, Impaired Verbal 语言沟通障碍
Confusion 意识模糊/混乱
　Acute Confusion 急性意识模糊/混乱
　Chronic Confusion 慢性意识模糊/混乱
Constipation 便秘
　Perceived Constipation 感知性便秘
　Risk for Constipation 有便秘的危险
Coping, Ineffective Individual 个人应对能力失调
　Defensive Coping 防御性应对
　Ineffective Denial 无效性否认
Coping, Ineffective Community 社区应对能力失调
Coping, Potential for Enhanced Community 社区有应对能力增强的潜力
Family Coping: Potential for Growth 家庭有应对能力增强的潜力
Ineffective Family Coping: Compromised 家庭妥协性应对能力失调
Ineffective Family Coping: Disabled 家庭失能性应对能力失调 
Decisional Conflict 决策冲突
Diarrhea 腹泻
Disuse Syndrome 废用综合征
Diversional Activity Deficit 娱乐活动缺乏
Dysreflexia 反射失调
　Risk for Dysreflexia 有反射失调的危险
Energy Field Disturbance 能量场紊乱
Environmental Interpretation Syndrome, Impaired环境解析障碍综合征
Family Processes, Altered 家庭运作异改变
　Family Processes, Altered: Alcoholism 家庭运作改变：酗酒
Fatigue 疲乏
Fear 恐惧
Fluid Volume Deficit 体液不足
Fluid Volume Excess 体液过多
Fluid Volume Imbalance, Risk for 有体液失衡的危险
Grieving 悲伤
　Grieving, Anticipatory 预期性悲伤
　Grieving, Dysfunctional 功能障碍性悲伤
　Growth and Development, Altered 生长发育异常
　Development, Risk for Altered 有发育异常的危险
　Growth, Risk for Altered 有生长异常的危险
　Adult Failure to Thrive 成年人缺乏生命活力
Health Maintenance, Altered 健康维护能力改变
Health Seeking Behaviors 寻求健康行为
Home Maintenance Management, Impaired 持家能力障碍
Hopelessness 绝望
Infant Behavior, Disorganized 婴儿行为紊乱
Infant Behavior, Risk for Disorganized 婴幼儿有行为紊乱的危险
Infant Behavior, Potential for Enhanced Organized 婴幼儿有行为能力增强的潜力
Infection, Risk for 有感染的危险
　Infection Transmission, Risk for 有传播感染的危险
Injury， Risk for有受伤的危险
　Aspiration， Risk for 有误吸的危险 　
Poisoning， Risk for 有中毒的危险
　Suffocation， Risk for 有窒息的危险
　Trauma， Risk for 有外伤的危险
Injury, Risk for Perioperative Positioning 有围手术期体位性损伤的危险
Knowledge Deficit 知识缺乏
Latex Allergy 乳胶过敏反应
　Latex Allergy Response, Risk for 有乳胶过敏反应的危险
Loneliness, Risk for 有孤独的危险
Management of Therapeutic Regimen, Effective: Individual　个人处理治疗计划有效
Management of Therapeutic Regimen, Ineffective 处理治疗计划不当/无效
　Management of Therapeutic Regimen, Ineffective: Famil　家庭处理治疗计划不当/无效
　Management of Therapeutic Regimen, Ineffective: Community社区处理治疗计划不当/无效
Mobility, Impaired Physical 躯体移动障碍
　Bed Mobility, Impaired 床上活动障碍
　Walking, Impaired 行走障碍
　Wheelchair Mobility, Impaired 借助轮椅活动障碍
　Wheelchair Transfer Ability, Impaired 轮椅转移能力障碍
Neurovascular Dysfunction, Risk for Peripheral　有周围神经血管功能障碍的危险
Noncompliance 不合作
Nutrition, Altered: Less Than Body Requirements营养失调：低于机体需要量
　Altered Dentition 牙齿异常
　Impaired Swallowing 吞咽能力受损
　Ineffective Infant Feeding Pattern 婴幼儿喂养不当/无效
Nutrition, Altered: More Than Requirements营养失调：高于机体需要量
Nutrition, Altered: Potential for More Than Body Requirements营养失调：潜在的高于机体需要量
Parenting, Altered父母不称职
　ParentInfant Attachment, Risk for Altered 有亲子依附关系改变的危险
　Parental Role Conflict 父母角色冲突
PostTrauma Response创伤后反应
　PostTrauma Response, Risk for 有创伤后反应的危险
　RapeTrauma Syndrome 强暴创伤综合征
Powerlessness 无能为力感
Protection, Altered保护能力改变
Relocation Stress (Syndrome) 迁移压力(综合征)
Respiratory Function, Risk for Altered有呼吸功能异常的危险 　
Dysfunctional Ventilatory Weaning Response 功能障碍性脱离呼吸机反应
　Dysfunctional Ventilatory Weaning Response，Risk for 有功能障碍性脱离呼吸机
反应的危险
　Ineffective Airway Clearance 清理呼吸道无效
　Ineffective Breathing Patterns 低效性呼吸型态
　Impaired Gas Exchange 气体交换受损
　Inability to Sustain Spontaneous Ventilation 不能维持自主呼吸
Role Performance, Altered 角色紊乱
SelfCare Deficit Syndrome 自理能力缺陷综合征
　Feeding SelfCare Deficit 进食自理缺陷
　Bathing/Hygiene SelfCare Deficit 沐浴/卫生自理缺陷
　Dressing/Grooming SelfCare Deficit 穿衣/修饰自理缺陷 
　Toileting SelfCare Deficit 如厕自理缺陷
　Instrumental SelfCare Deficit 使用器具自理缺陷
SelfConcept Disturbance 自我概念紊乱
　Body Image Disturbance 自我形象紊乱
　Personal Identity Disturbance 自我认同紊乱
　SelfEsteem Disturbance 自尊紊乱
　Chronic Low SelfEsteem 长期自尊低下
　Situational Low SelfEsteem 情境性自尊低下
Risk for SelfHarm 有自我伤害的危险
　Risk for SelfAbuse 有自虐的危险
　Risk for SelfMutilation 有自残的危险
　Risk for Suicide 有自杀的危险
SensoryPerceptual Alterations 感觉/知觉改变
Sexuality Patterns, Altered 性生活型态改变
　Sexual Dysfunction 性功能障碍
Sleep Pattern Disturbance 睡眠型态紊乱
　Sleep Deprivation 睡眠剥夺
Social Interaction, Impaired 社交障碍
Social Isolation 社交隔离
Sorrow, Chronic 长期悲伤
Spiritual Distress 精神困扰
　Spiritual Distress, Risk for 有精神困扰的危险
Spiritual WellBeing, Potential for Enhanced 有精神健康增强的潜力
Surgical Recovery, Delayed 外科手术后恢复延迟
Thought Processes, Altered 思维过程异常
　Memory, Impaired 记忆受损
Tissue Integrity, Impaired 组织完整性受损
　Skin Integrity, Impaired 皮肤完整性受损
　Skin Integrity, Impaired，Risk for 有皮肤完整性受损的危险
　Oral Mucous Membrane，Altered 口腔粘膜改变
Tissue Perfusion, Altered (Specify) 组织灌注量改变(特定的)　
Altered Peripheral Tissue Perfusion 周围组织灌注量改变
Unilateral Neglect 忽略单侧身体
Urinary Elimination, Altered Patterns of 排尿型态异常
　Maturational Enuresis 成熟性遗尿
　Functional Incontinence 功能性尿失禁
　Reflex Incontinence 反射性尿失禁
　Stress Incontinence 压力性尿失禁
　Total Incontinence 完全性尿失禁
　Urge Incontinence 急迫性尿失禁
　Urge Incontinence, Risk for 有急迫性尿失禁的危险 　
Urinary Retention 尿潴留
Violence, Risk for 有暴力行为的危险
第二部分　与医学情况相关的护理诊断及合作性问题
内科部分
心血管/血液/周围血管性异常
心脏方面
……
血液方面 　
周围血管方面
呼吸系统异常　
代谢/内分泌异常　
胃肠道异常　
肾脏/泌尿道异常
神经性异常　
知觉异常
皮肤异常
肌肉骨骼/结缔组织异常
感染性/免疫缺陷性疾病
肿瘤
外科部分
妇产科部分
产科方面　
新生儿部分
儿童及青少年部分
精神健康异常
诊断及治疗部分　
附录
参考文献